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appl echs form FreshGovJobs.blogspot.com .pdf


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APPLICATION FORM FOR EMPLOYMENT IN ECHS
POST APPLIED FOR_________________________________
Name of Polyclinics applied for__________________________
1.

Name

__________________________________

(If Ex-serviceman No _______________ Rank________

Affix recent
passport size
photographs

Arms/Service ____________ Unit last served_________
2.

Date of birth __________________________________

3.

Sex: M/F

4.

Postal Address_________________________________

__________________________________

_____________________________________________
Pin_____________Mob No__________________ E-mail ID_______________
5.

Education Qualification (Phtocopies duly attested to be attached)
Qualification
Year of
Place of
No of
Passing
Passing
Attempts

% marks

(a)
(b)
(c)
(d)
(e)
6.

Work experience(Experience certificate must be attached for consideration)
Place of work/Hospital
Period of Employment Reason for leaving to Job

7.
Registration No and date of registration with Indian/State Medical Council
____________________ (Photocopy of registration to be attached).
8.

Honours and Awards(Professional & Service)

9.
Details of previous service in Army/Central/State Govt (Photocopy of ESM PPO
& Discharge book to be attached duly attested).
10.
Total pd of serving (including SSC if any)_________________________
11.
Details of Previous service if any with ECHS and reason for termination
_____________________________________________

DECLARATION
1.
I hereby solemnly declare that all the statement made in the above application
are true and correct to be best of my knowledge and belief.
2.
I fully understand and that in the events of any information furnished being found
false or incorrect, action can be taken against me.

Place :___________________

Signature___________________

Date :___________________

Name of applicant____________

2

EX -SERVICEMEN CONTRIBUTORY HELATH SCHEME (ECHS)
Ser
No

Appointment

Basic Qualification

Work Experience

Reservation for
Ex-Servicemen

Contractual
fee per
month(Rupees)

1.

Medical Officer

MD/MS in Specialty
concerned

Minimum Three Years in the
Specialty after Post Graduation

60%

60,000/-

2.

Medical Specialist

MBBS

Minimum three Years
Experience After Internship

60%

(a) Rs 70,000/st
(For 1 year
contract
appointment)
(b) Rs 80,000/nd
(For 2 year
contract
appointment)

3.

Dental Officer

BDS

Minimum Three Years Work
Exp

60%

4.

Gynecologist

5.

Radiologist

6.
7.

OIC ECHS
Polyclinic

Radiographer

MD/MS in Specialty
concerned

(i) A recognized medical
qualification included in
the
first
of
second
schedule of part II of the
third schedule(other than
Licentiate qualifications) of
the Indian medical Council
Act
1956.Holders
of
educational
qualification
included in part II of the
third schedule should also
fulfill
the
conditions
stipulated in sub section
stipulated in sub section
(3) of section 13 of the
Indian medical Council Act
1956
(ii) Post Graduate degree
in the concerned specially
mentioned in section A or
section B of schedule VI of
the Central Health Service
Regulation 1996.
Graduate

Diploma

60,000/-

(a) Rs 70,000/st
(For 1 year
contract
appointment)

Minimum Three Years in the
Specialty after Post Graduation

60%

At least three years experience
in the concerned specialty after
obtaining the Post Graduate
Degree of five years experience
after obtaining Post Graduate
Diploma.DMC Registration

60%

55,000/-

100% (Post
reserved for
Retired Defence
Officers)
70%

60,000/-

Minimum Five Years Work Exp
in Health Care Institutions or
Managerial Positions
Minimum Five Years
Experience

(b) Rs 80,000/nd
(For 2 year
contract
appointment)

22,500/-

Cont………..

3

EX -SERVICEMEN CONTRIBUTORY HELATH SCHEME (ECHS)
Ser
No
8.

Appointment

Lab Technician

Basic Qualification

Work Experience

(i) B.Sc (Medical Lab
Technology
Or
(ii) Matriculation /Higher
Secondary/Senior
Secondary (10+2) with
Science from Recognized
Institution/Board
(ii) Diploma in Medical Lab
Technology
from
a
Recognized Institution

Minimum Three years
Experience as Lab Assistant in
A medical lab

Reservation for
Ex-Servicemen
70%

Contractual
fee per
month(Rupees)
22,500/-

9.

Lab Assistant

DMLT/Class-I Lab Tech
Course

Minimum Five Years
Experience in Lab

70%

22,500/-

10.

Physiotherapist

Diploma

Minimum Five Years
Experience

70%

22,500/-

11.

Pharmacist

(i) B Pharmacy from a
recognized Institute
Or

70%

22,500/-

70%

22,500/-

70

22,500/-

(i) 10+2 with Science
stream
(Physics,
Chemistry, Biology from a
recognized Board.

Minimum three Years
Experience in Pharmacy

And
(ii) Approved Diploma in
Pharmacy from an Institute
recognized
by
the
Pharmacy Council of India
and
registered
as
pharmacist
under
the
Pharmacy Act 1948
12.

Nursing Asst

13.

Dental Assistant
/Technician
/Hygienist

DMN, Dip/Class I
NAC(Armed Forces)
(i) Should have passed
10+2 with Science or
equivalent
from
a
recognized
Board
or
Institution
And
(ii) Should have two years
Diploma
in
Dental
Hygienist/Dental Mechanic
Course Registered with
Central/State Govt .m or
Dental Council of India

Minimum Five Years
Experience

Minimum Five Years Exp in
Dental Laboratory

Cont………..

4

EX -SERVICEMEN CONTRIBUTORY HELATH SCHEME (ECHS)
Ser
No

Appointment

Basic Qualification

Work Experience

Reservation for
Ex-Servicemen

Contractual
fee per
month(Rupees)

70%

15,750/-

70%

13,455/-

Minimum Five Years
Experience

70%

13,455/-

14

Driver

Edn-8, Class-I Driver
MT(Armed Forces) Poses
a civil driving license(LMV)

Minimum Five Years
Experience

15.

Chowkidar

16.

Female Attendant

Education-Class 8 or GD
trade for Armed Forces
personal
Literate

17.

Peon

Education Class-B GD
Grade(Armed Forces)

Minimum Five Years
Experience

70%

13,455/-

18

Safai Wala

Literate

Minimum Five Years
Experience

70%

13,455/-

th

GENERAL INSTRUCTIONS
1.
Age Candidates should not have completed 62 years of age for Ser No 1 to 5 and 52 years of age
for Ser No 6 to 14
2.
Contractual Terms & Conditions
The contractual employment will be for a period of one year
subject to review of their conduct and performance during the employment. The contractual employees will
not be entitled any allowance, financial benefits or concessions as admissible to Govt employees
Working Hours The working hours for staff(less Ser 1 & 2) would be 48 hours per week (8x6) from
3.
Monday to Saturday, Sunday being a holiday. For specialists (Medical specialist & Gynecologist) the
working hours would be 30 hours per week (5x6) from Monday to Saturday, Sunday being a holiday
4.
Leave The staff will be entitled to ten days leave besides Sundays and Gazetted holiday during the
contractual period of twelve months


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